Geovar Agbayani, DO – Emergency Medicine Physician

Key facts

NPI: 1265016646
Entity type: Individual (NPI type 1)
Primary specialty: Emergency Medicine Physician 207P00000X
License: NA (AZ)
Practice address: 3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone: (928) 757-2101
NPI assigned: May 11, 2021
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hawaii Permanente Medical Group Inc Health Maintenance Organization · Honolulu, HI · NPI 1710945969

Medicare reassignment Care Compare group NPD HI

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Kaiser Foundation Hospitals General Acute Care Hospital · Honolulu, HI · NPI 1396813861

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Emergency Medicine
Education: Arizona College of Osteopathic Medicine Mid Western University, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Hawaii Permanente Medical Group Inc (705 clinicians)

Practice addresses (Care Compare)

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

Hospital & facility affiliations

Kaiser Foundation Hospital Hospital · Honolulu, HI · CCN 120011

Medicare participation

Medicare fee-for-service enrollment: Enrolled in HI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250211002399	HI	Practitioner - Emergency Medicine	1557891272	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

Practice roles

Organization	Specialty	Status	New patients
Hawaii Permanente Medical Group Inc		Current since Dec 6, 2024	Accepting new patients

Locations

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Emergency Medicine Physician	207P00000X	NA	AZ	Yes

Addresses

Primary practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Mailing address

3656 Puuku Makai Dr
Honolulu, HI 96818-2815
Phone (808) 227-8643

Other providers in Kingman, AZ

All providers in Kingman, AZ · Emergency Medicine Physician in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.